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RCEM FRCEM Primary Examination Sample Questions:

1. A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

A) Ileum
B) Jejunum
C) Sigmoid colon
D) Transverse colon
E) Duodenum

2. You have achieved haemostasis of a wound A medical student asks you about the subsequent inflammatory response. Which is the predominant cell type in this phase?

A) Neutrophils
B) Platelets
C) Lymphocytes
D) Fibroblasts
E) Macrophages

3. You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?

A) Semitendinosis
B) Medial head of gastrocnemius
C) Semimembranosus
D) Biceps femons
E) Lateral head of gastrocnemius

4. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

A) Angiotensin
B) Renin
C) Aldosterone
D) Adenosine
E) Anti-diuretic hormone

5. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Increased cellular resistance to insulin
B) Reduced insulin production by pancreatic beta cells
C) Production of abnormal insulin
D) Reduced glucagon secretion
E) Excessive glucocorticoid production

Solutions: